| NPI | 1174582167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP156882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023678) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15564300) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2026-05-11 |